PCT

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  • เผยแพร่เมื่อ 25 ธ.ค. 2024

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  • @Prashantexplores
    @Prashantexplores  14 วันที่ผ่านมา

    Urea transport in the proximal convoluted tubule (PCT) occurs through passive diffusion, driven by the concentration gradient. Here's how it happens:
    1. Mechanism of Urea Reabsorption in the PCT:
    In the PCT, about 50% of filtered urea is passively reabsorbed.
    This occurs as a result of solvent drag:
    Sodium (Na⁺), water, and other solutes are actively reabsorbed first.
    The reabsorption of water concentrates urea in the tubular fluid, creating a concentration gradient.
    Urea then passively diffuses across the tubular epithelium into the interstitial space.
    2. Transport Pathways:
    Paracellular Pathway:
    Urea moves through tight junctions between tubular cells.
    Transcellular Pathway:
    Although the PCT lacks specialized urea transporters, urea can diffuse through the plasma membrane of tubular cells.
    3. Regulation:
    The reabsorption of urea in the PCT is not directly regulated but is indirectly influenced by the rate of water reabsorption (which is driven by Na⁺ reabsorption).
    4. Clinical Note:
    If there’s a disruption in kidney function (e.g., reduced glomerular filtration rate), urea can accumulate in the blood, leading to uremia.